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Utah rates for HCPCS 64823

Sympathectomy Superficial Palmar Arch

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,093.33 / $3,084.00 / $4,707.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$795.49 / $1,093.33 / $4,132.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$798.32 / $1,090.07 / $2,223.01
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.50 / $569.42 / $765.38
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,684.92 / $6,137.22 / $8,943.69
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,291.25 / $1,477.23 / $2,159.21
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,202.00 / $6,097.00 / $8,267.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$680.06 / $820.44 / $1,331.30